1073051264 CREEKSIDE MANOR
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- CREEKSIDE MANOR
- Enumeration Date
- February 7, 2017
- Last Update
- February 7, 2017
- Authorized Official
- MR. MICHAEL DEAN CHAFFEE
OWNER
Phone: (231) 796-6131
Practice Location
- Address
- 17460 12 MILE RD
BIG RAPIDS, MI 493079554 - Phone
- (231) 796-6131
Mailing Address
- Address
- 17460 12 MILE RD
BIG RAPIDS, MI 493079554 - Phone
- (231) 796-6131
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | AM540070004 | MI | Primary |
Frequently Asked Questions
What is CREEKSIDE MANOR's NPI number?
CREEKSIDE MANOR's NPI number is 1073051264.
Which doctor has NPI number 1073051264?
The doctor with NPI number 1073051264 is CREEKSIDE MANOR.
What is CREEKSIDE MANOR's practice address?
CREEKSIDE MANOR's practice address is 17460 12 MILE RD, BIG RAPIDS, MI, 493079554.
Which doctor practices at 17460 12 MILE RD, BIG RAPIDS, MI, 493079554?
CREEKSIDE MANOR practices at 17460 12 MILE RD, BIG RAPIDS, MI, 493079554.
What is CREEKSIDE MANOR's phone number?
CREEKSIDE MANOR's phone number is (231) 796-6131.
Who is (231) 796-6131?
(231) 796-6131 is the phone number for CREEKSIDE MANOR.
What is CREEKSIDE MANOR's specialty?
CREEKSIDE MANOR's specialty is Exclusive Provider Organization.
What type of doctor is CREEKSIDE MANOR?
CREEKSIDE MANOR is a Exclusive Provider Organization.
Is CREEKSIDE MANOR a Exclusive Provider Organization?
Yes, CREEKSIDE MANOR is a Exclusive Provider Organization.
Is CREEKSIDE MANOR still practicing?
Yes, CREEKSIDE MANOR is currently practicing.
Is CREEKSIDE MANOR accepting new patients?
CREEKSIDE MANOR may be accepting new patients. Please call their office at (231) 796-6131 to inquire about availability.
Is NPI 1073051264 still active?
Yes, NPI 1073051264 is currently active.
Where does CREEKSIDE MANOR practice?
CREEKSIDE MANOR practices in BIG RAPIDS, MI.